Individual
MR. VICTOR MANUEL ECHENIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 GAUSE BLVD, SUITE 320, SLIDELL, LA 70458-2988
(985) 641-7577
(985) 643-0826
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
017016
LA
207RC0000X
Cardiovascular Disease Physician
ME0045491
FL
207RI0011X
Interventional Cardiology Physician
Primary
017016
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019078
—
MS
01
—
060018917
RAILROAD MEDICARE
—
05
—
1381471
—
LA
Enumeration date
05/31/2005
Last updated
05/03/2023
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